Evidence map›Paper›PMID 26946317›Full record

ArticleMagnetic resonance in medicine2017

Are complex DCE-MRI models supported by clinical data?

Chong Duan, Jesper F Kallehauge, G Larry Bretthorst, Kari Tanderup, Joseph J H Ackerman, Joel R Garbow

Abstract readComparative StudyEvaluation StudyValidation Study
In one paragraph

Article in Magnetic resonance in medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Article
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  5. Advanced MR Techniques for Preoperative Glioma Characterization: Part 1.Journal of magnetic resonance imaging : JMRI · 2023
    Review
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  12. Imaging-based characterization of convective tissue properties.International journal of hyperthermia : the official journal of European Society for Hyperthermic Oncology, North American Hyperthermia Group · 2020
    Article
  13. Article
  14. EJNMMI research · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Chong DuanDepartment of Chemistry, Washington University, Saint Louis, Missouri, USA.
Jesper F KallehaugeDepartment of Medical Physics, Aarhus University, Aarhus, Denmark.
G Larry BretthorstDepartment of Radiology, Washington University, Saint Louis, Missouri, USA.
Kari TanderupDepartment of Oncology, Aarhus University, Aarhus, Denmark.
Joseph J H AckermanDepartment of Chemistry, Washington University, Saint Louis, Missouri, USA.
Joel R GarbowDepartment of Radiology, Washington University, Saint Louis, Missouri, USA.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI TIMOTHY J. EBERLEIN · 2001 to 2026
$128.0M
NCI NIH HHS P30 CA091842
6 · The paper itself

Abstract

purposeTo ascertain whether complex dynamic contrast enhanced (DCE) MRI tracer kinetic models are supported by data acquired in the clinic and to determine the consequences of limited contrast-to-noise.

methodsGenerically representative in silico and clinical (cervical cancer) DCE-MRI data were examined. Bayesian model selection evaluated support for four compartmental DCE-MRI models: the Tofts model (TM), Extended Tofts model, Compartmental Tissue Uptake model (CTUM), and Two-Compartment Exchange model.

resultsComplex DCE-MRI models were more sensitive to noise than simpler models with respect to both model selection and parameter estimation. Indeed, as contrast-to-noise decreased, complex DCE models became less probable and simpler models more probable. The less complex TM and CTUM were the optimal models for the DCE-MRI data acquired in the clinic. [In cervical tumors, Ktrans, Fp, and PS increased after radiotherapy (P = 0.004, 0.002, and 0.014, respectively)].

conclusionCaution is advised when considering application of complex DCE-MRI kinetic models to data acquired in the clinic. It follows that data-driven model selection is an important prerequisite to DCE-MRI analysis. Model selection is particularly important when high-order, multiparametric models are under consideration. (Parameters obtained from kinetic modeling of cervical cancer clinical DCE-MRI data showed significant changes at an early stage of radiotherapy.) Magn Reson Med 77:1329-1339, 2017. © 2016 International Society for Magnetic Resonance in Medicine.

Indexed as

AlgorithmsModels, BiologicalComputer SimulationContrast MediaEvidence-Based MedicineFemaleHumansImage Interpretation, Computer-AssistedKineticsMagnetic Resonance ImagingMetabolic Clearance RateReproducibility of ResultsSensitivity and SpecificitySignal-To-Noise RatioUterine Cervical NeoplasmsContrast MediaBayesian inferencecervical cancerDCE-MRImodel selectionpharmacokineticstracer kinetic modeling

Identifiers

PMID26946317
PMCPMC5548456

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.